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COUNTY OF SAN JOAQUIN Dater/ �U/ -)6 <br /> DEPARTMENT OF PUBLIC WORKS Received by <br /> DRIVEWAY AND PAVED FRONTAGES CR# <br /> PERNHT APPLICATION <br /> C�(JI r l 6 l h LY U C-h(7 Y) OFFICE USE ONLY <br /> JOB#11 - ISSUE DATE <br /> Name NIS` _-�J J- �Z FEE DUE <br /> ss�,g EXP.DATE DRIVEWAYS: <br /> A lG L STREET <br /> 144'-,Ie7 QUAD , <br /> City,State-Zip Code TYPE <br /> C K f(7l� r /t C1 (;,212 ORMS <br /> (Area Code)Telephone OTE <br /> SITE INFORMATION <br /> �,�/2��� �o•�s r `��c . yes P'�e Cz�f� <br /> Parcel Owner's Name <br /> l�3 •e Address <br /> r DRIVEWAY <br /> City,State-Zip Code TYPE QUANTITY WIDE <br /> &�ZCy-rbYl ( Ar ,, 21� AGRICULTURE @ FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL @ R/W — <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> Name LENGTH: Ft. X WIDTH. Ft. <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the QE1&7 side of_ T.*-1. MA R AVE <br /> City,State-Zip Code approximately � <br /> a � 6Ko�}� of A A7,4�Y� <br /> • by installing_ + <br /> (Area Code)Telephone <br /> will commence on or about for approximately days. Work <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's License <br /> Acccw\Per ApplFam\DrivewayPaved frontage <br />